American journal of orthopedics (Belle Mead, N.J.)最新文献_第9页

Current Concepts in Clinical Research: Anterior Cruciate Ligament Outcome Instruments. 当前临床研究的概念:前交叉韧带预后仪。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0027

Molly Day, Kyle Hancock, Natalie Glass, Matthew Bollier

引用次数: 0

Blood Loss Reduction with Tranexamic Acid and a Bipolar Sealer in Direct Anterior Total Hip Arthroplasty. 氨甲环酸和双极封闭器在直接前路全髋关节置换术中减少失血。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0032

Sherif Dabash, Leticia C Barksdale, Colin A McNamara, Preetesh D Patel, Juan C Suarez

{"title":"Blood Loss Reduction with Tranexamic Acid and a Bipolar Sealer in Direct Anterior Total Hip Arthroplasty.","authors":"Sherif Dabash, Leticia C Barksdale, Colin A McNamara, Preetesh D Patel, Juan C Suarez","doi":"10.12788/ajo.2018.0032","DOIUrl":"https://doi.org/10.12788/ajo.2018.0032","url":null,"abstract":"The purpose of this study is to determine the effectiveness of tranexamic acid (TXA) alone and in conjunction with a bipolar sealer in reducing postoperative transfusions during direct anterior (DA) total hip arthroplasty (THA).In this retrospective review, we analyzed 173 consecutive patients who underwent primary unilateral DA THA performed by 2 surgeons during a 1-year period. Subjects were divided into 3 groups based on TXA use: 63 patients received TXA alone (TXA group), 49 patients received TXA in addition to a bipolar sealer (TXA + bipolar sealer group), and 61 patients received neither TXA nor a bipolar sealer (control group). Primary end points were the transfusion rate and estimated blood loss. Secondary end points were length of stay, postoperative drop in hemoglobin, and postoperative drain output. Two patients in the TXA group and 10 patients in the control group were transfused (P = .02). In the TXA + bipolar sealer group, 1 patient was transfused (P = .02). No significant difference in the rate of transfusion was found between the TXA group and the TXA + bipolar sealer group (P = .99). Estimated blood loss was 310.3 mL ± 182.5 mL in the TXA group (P = .004), 292.9 mL ± 130.8 mL in the TXA + bipolar sealer group (P = .003), and 404.9 mL ± 201.2 mL in the control group. The use of TXA, with and without the concomitant use of a bipolar sealer, decreases intraoperative blood loss and postoperative transfusion requirements. The addition of a bipolar sealer, however, does not appear to provide any additional decrease in blood loss.","PeriodicalId":79316,"journal":{"name":"American journal of orthopedics (Belle Mead, N.J.)","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36206317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Nonoperative Treatment of Closed Extra-Articular Distal Humeral Shaft Fractures in Adults: A Comparison of Functional Bracing and Above-Elbow Casting. 成人闭合性肱骨远端关节外骨折的非手术治疗:功能性支具与肘上铸造的比较。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0031

H J Christiaan Swellengrebel, David Saper, Paul Yi, Alexander A Weening, David Ring, Andrew Jawa

{"title":"Nonoperative Treatment of Closed Extra-Articular Distal Humeral Shaft Fractures in Adults: A Comparison of Functional Bracing and Above-Elbow Casting.","authors":"H J Christiaan Swellengrebel, David Saper, Paul Yi, Alexander A Weening, David Ring, Andrew Jawa","doi":"10.12788/ajo.2018.0031","DOIUrl":"https://doi.org/10.12788/ajo.2018.0031","url":null,"abstract":"Diaphyseal fractures of the distal humerus have a high rate of union when treated with a functional brace or an above-elbow cast (AEC). This study compares alignment of the humerus and motion of the elbow after functional brace or AEC treatment. One-hundred and five consecutive patients with a closed, extra-articular fracture of the distal humeral diaphysis were identified in the orthopedic trauma databases of 3 hospitals between 2003 and 2012. Seventy-five patients with a follow-up of at least 6 months or with radiographic and clinical evidence of fracture union were included (51 treated with functional bracing and 24 treated with an AEC). All of the fractures healed. The average arc of elbow flexion was 130° ± 9° in braced patients vs 127° ± 12° in casted patients. Four patients (8%) in the bracing group and 4 (17%) in the casting group lost >20° of elbow motion. The average varus angulation on radiographs was 17° ± 8° in braced and 13° ± 8° in casted patients, while the average posterior angulation was 9° ± 6° vs 7° ± 7°, respectively. Closed extra-articular distal diaphyseal humerus fractures heal with both bracing and casting and there are no differences in average elbow motion or radiographic alignment.","PeriodicalId":79316,"journal":{"name":"American journal of orthopedics (Belle Mead, N.J.)","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36206198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The Potential Value of Dual-Energy X-Ray Absorptiometry in Orthopedics. 双能x线骨密度仪在骨科中的潜在价值。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0033

Gary M Kiebzak

{"title":"The Potential Value of Dual-Energy X-Ray Absorptiometry in Orthopedics.","authors":"Gary M Kiebzak","doi":"10.12788/ajo.2018.0033","DOIUrl":"https://doi.org/10.12788/ajo.2018.0033","url":null,"abstract":"Dual-energy X-ray absorptiometry (DXA) is a well-established technology with an important and well-known role in measuring bone mineral density (BMD) for the purpose of determining fracture risk, diagnosing osteoporosis, and monitoring treatment efficacy. However, aside from the assessment of bone status, DXA is likely underutilized in the field of orthopedics, and most orthopedists may not be aware of the full capabilities of DXA, particularly with regard to total body scans and body composition assessment. For example, DXA would be a valuable tool for monitoring body composition after surgery where compensatory changes in the affected limb may lead to right-left asymmetry (eg, tracking lean mass change after knee surgery), rehabilitation regimens for athletes, congenital and metabolic disorders that affect the musculoskeletal system, or monitoring sarcopenia and frailty in the elderly. Furthermore, preoperative and postoperative regional scans can track BMD changes during healing or alert surgeons to impending problems such as loss of periprosthetic bone, which could lead to implant failure. This article discusses the capabilities of DXA and how this technology could be better used to the advantage of the attending orthopedist.","PeriodicalId":79316,"journal":{"name":"American journal of orthopedics (Belle Mead, N.J.)","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36205808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participation in Work and Sport Following Reverse and Total Shoulder Arthroplasty. 肩关节置换术和全肩关节置换术后工作和运动的参与情况。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0034

Jennifer Kurowicki, Samuel Rosas, Tsun Yee Law, Johnathan C Levy

{"title":"Participation in Work and Sport Following Reverse and Total Shoulder Arthroplasty.","authors":"Jennifer Kurowicki, Samuel Rosas, Tsun Yee Law, Johnathan C Levy","doi":"10.12788/ajo.2018.0034","DOIUrl":"https://doi.org/10.12788/ajo.2018.0034","url":null,"abstract":"Both anatomical total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) are routinely performed for patients who desire to continuously work or participate in sports. This study analyzes and compares the ability of patients to work and partake in sports following shoulder arthroplasty based on responses to clinical outcome surveys. A retrospective review of the shoulder surgery repository was performed for all patients treated with TSA and RSA and who completed questions 9 and 10 on the activity patient self-evaluation portion of the American Shoulder and Elbow Surgeons (ASES) Assessment Form. Patients with a minimum of 1-year follow-up were included if a sport or work was identified. The analysis included 162 patients with TSA and 114 patients with RSA. Comparisons were made between TSA and RSA in terms of the specific ASES scores (rated 0-3) reported for ability to work and participate in sports and total ASES scores, and scores based on specific sports or line of work reported. Comparisons were also made between sports predominantly using shoulder function and those that do not. TSA patients had a 27% higher ability to participate in sports (average specific ASES score: 2.5 vs 1.9, P < .001) than RSA patients and presented significantly higher scores for swimming and golf. Compared with RSA patients, TSA patients demonstrated more ability to participate in sports requiring shoulder function without difficulty, as 63% reported maximal scores (P = .003). Total shoulder arthroplasty patients also demonstrated a 21% higher ability to work than RSA patients (average specific ASES scores: 2.6 vs 2.1, P < .001), yielding significantly higher scores for housework and gardening. Both TSA and RSA allow for participation in work and sports, with TSA patients reporting better overall ability to participate. For sports involving shoulder function, TSA patients more commonly report maximal ability to participate than RSA patients.","PeriodicalId":79316,"journal":{"name":"American journal of orthopedics (Belle Mead, N.J.)","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36205809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Coverage of Hand Defects with Exposed Tendons: The Use of Dermal Regeneration Template. 外露肌腱手部缺损的覆盖:真皮再生模板的使用。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0030

Eitan Melamed, Charles P Melone

引用次数: 3

Use of a Core Reamer for the Resection of a Central Distal Femoral Physeal Bone Bridge: A Novel Technique with 3-Year Follow-up. 使用核心铰刀切除股骨中央远端骨桥:一项新技术，随访3年。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0028

Zachary K Pharr, Joan D Roaten, Alice Moisan, Derek M Kelly, Jeffrey R Sawyer

引用次数: 0

Avulsion of the Anterior Lateral Meniscal Root Secondary to Tibial Eminence Fracture. 胫骨隆起骨折继发于半月板前外侧根撕脱。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0024

Travis J Menge, Jorge Chahla, Justin J Mitchell, Chase S Dean, Robert F LaPrade

引用次数: 7

Radiographic Study of Humeral Stem in Shoulder Arthroplasty After Lesser Tuberosity Osteotomy or Subscapularis Tenotomy. 肩胛下肌或小结节截骨后肩关节置换术中肱骨干的影像学研究。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0036

Robert Mason, Taylor Buckley, Richard Southgate, Gregg Nicandri, Richard Miller, Ilya Voloshin

{"title":"Radiographic Study of Humeral Stem in Shoulder Arthroplasty After Lesser Tuberosity Osteotomy or Subscapularis Tenotomy.","authors":"Robert Mason, Taylor Buckley, Richard Southgate, Gregg Nicandri, Richard Miller, Ilya Voloshin","doi":"10.12788/ajo.2018.0036","DOIUrl":"https://doi.org/10.12788/ajo.2018.0036","url":null,"abstract":"Lesser tuberosity osteotomy (LTO) and subscapularis tenotomy (ST) are used for takedown of the subscapularis during shoulder arthroplasty. LTO offers the theoretical but unproven benefit of improved healing and function of the subscapularis. However, humeral stem subsidence and loosening may be greater when osteotomy is performed, which may compromise functional outcomes. Our hypothesis is that no difference in proximal collar press-fit humeral stem subsidence or loosening exists, with no impairment of functional outcomes using the LTO technique. Radiographs of 39 shoulders from 35 patients who underwent shoulder arthroplasty with a minimum of 1 year of radiographic follow-up were included in the study cohort. All patients received the same press-fit implant (Bigliani-Flatow; Zimmer Biomet). We collected data including demographic information; radiographic measurements, including humeral-acromial distance (HAD); subsidence; subluxation index; the presence of lucent lines >2 mm; and functional outcome scores using the Western Ontario Osteoarthritis of the Shoulder Index, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and the Constant score. Subsidence was 2.8 ± 3.1 mm for LTO vs 2.5 ± 3.1 mm for ST (P = .72). HAD did not differ between the LTO and ST groups preoperatively (9.5 ± 2.4 mm vs 10.9 ± 2.7 mm, P = .11). The first postoperative and final follow-up films for HAD for the LTO and ST groups showed a statistically significant difference (first postoperative film, 11.9 ± 3.7 mm vs 15.9 ± 4.5 mm, P = .005; final follow-up film, 11.8 ± 3.2 mm vs 14.5 ± 3.9 mm, P = .03). We identified no differences in subsidence, lucent lines >2 mm, posterior subluxation, and Constant, and DASH functional outcome scores for patients undergoing total shoulder arthroplasty via the LTO vs ST techniques with the same proximal collar press-fit humeral stem at short-term follow-up.","PeriodicalId":79316,"journal":{"name":"American journal of orthopedics (Belle Mead, N.J.)","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36206199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Recurrence of Extranodal Natural Killer/T-cell Lymphoma Presenting as Tarsal Tunnel Syndrome. 结外自然杀伤细胞/ t细胞淋巴瘤复发表现为跗骨隧道综合征。

American journal of orthopedics (Belle Mead, N.J.) Pub Date : 2018-05-01 DOI: 10.12788/ajo.2018.0025

Michael Aynardi, Steven M Raikin

引用次数: 2